Communication between a nurse caring for a patient in the preoperative holding area and the circulating nurse in the operating room (OR) can best be enhanced by which of the following? Select all that apply
Documenting assessment findings in the medical record
Using a standardized SBAR tool
Being responsive in using nonverbal communication techniques
Giving specific information to a transport technician
Listening to the OR nurse’s questions
Correct Answer : B,C,E
Effective handoff communication reduces errors and ensures continuity of care. Tools like SBAR, active listening, and nonverbal cues are evidence-based methods to enhance safety in the perioperative setting.
Rationale for correct answers:
2.Using a standardized SBAR tool: SBAR (Situation, Background, Assessment, Recommendation) provides a structured, concise, and effective method for handoff communication, reducing errors.
3. Being responsive in using nonverbal communication techniques: Nonverbal cues such as nodding, eye contact, and attentiveness enhance understanding and ensure the receiver interprets the message accurately.
5. Listening to the OR nurse’s questions: Active listening ensures clarification, avoids misinterpretation, and allows for questions about critical client details.
Rationale for incorrect answers:
1.Documenting assessment findings in the medical record: Documentation is essential but does not ensure direct communication between nurses in different areas. Timely, verbal handoff is more effective for safe surgical care.
4. Giving specific information to a transport technician: Transport staff are not responsible for clinical handoff. Critical pre-op details must be directly communicated nurse-to-nurse.
Take home points:
- SBAR and active listening are gold standards for safe handoffs.
- Direct communication between responsible nurses is essential; documentation or delegation alone is not sufficient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
The priority is to remove nonabsorbable sutures without injuring newly formed tissue or introducing contamination. That means assessing the wound first, using appropriate technique and instruments, lifting the knot, cutting the stitch close to the skin, and extracting the suture so contaminated external material is not pulled back through the wound.
Rationale for correct answers:
2. Grasp the suture at the knot with a pair of forceps: Lift the knot gently with forceps to expose the loop, stabilize the stitch, and allow safe placement of scissors beneath the suture for cutting. This minimizes trauma to the wound edges.
3. Place the curved tip of the suture scissors under the suture as close to the skin as possible: Cutting close to the skin limits contamination and eases atraumatic removal.
5. Remove alternate sutures first: Removing every other suture first helps maintain some wound support and lets you check approximation/healing as you go; if edges separate, you can stop and notify the provider. If the wound is well healed, sometimes all may be removed at once.
Rationale for incorrect answers:
1. Use clean technique: Suture removal is usually a sterile procedure.
4.Pull the suture material that is visible beneath the skin during removal: You must not pull the contaminated visible external portion of the suture through underlying tissue- that would drag external contaminants into the wound.
Take home points:
- Cut close, pull carefully.
- Always cut the suture as close to the skin as possible and remove the suture in a way that prevents dragging contaminated external material back through subcutaneous tissue.
Correct Answer is A
Explanation
Thoracic incisions limit chest wall excursion and make coughing painful, so patients breathe more shallowly and cannot clear secretions effectively. This predisposes them to atelectasis and postoperative pneumonia.
Rationale for correct answer:
1. Respiratory system: A thoracic incision (thoracotomy, thoracic surgery) impairs chest wall movement, causes pain with deep breathing and coughing, and often leads to shallow respirations and ineffective cough - all of which increase risk for atelectasis and pneumonia.
Rationale for incorrect answers:
2. Circulatory system: Major thoracic surgery can affect hemodynamics in some cases, but the most immediate and common postoperative complications after a thoracic incision are pulmonary.
3. Digestive system: Digestive complications are more commonly related to abdominal surgery. A thoracic incision does not directly impair bowel motility the way abdominal manipulation does.
4. Nervous system: Neurologic complications are not the principal concern specifically from a thoracic incision; while pain and anesthesia affect the nervous system, the primary system at direct risk is respiratory.
Take home points:
- After thoracic surgery prioritize respiratory assessment and interventions- incentive spirometry, splinting, analgesia, early mobilization.
- Pain control that permits deep breathing and coughing is essential to prevent atelectasis and pneumonia.
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